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Dr. Ken Wilson, DC
Chiropractor in Ham Lake, Minnesota
NPI 1508410101

Ken Wilson is a Chiropractor based in Ham Lake, MN. Ken Wilson practices in Ham Lake, MN and has the professional credentials of DC. The NPI Number for Ken Wilson is 1508410101 and holds a License No. 6350 (Minnesota).

The current practice location address for Ken Wilson is 3238 171St Ave Ne, Ham Lake, MN and can be reached out via phone at 612-802-3646.

Location: 3238 171St Ave Ne, Ham Lake, MN, 55304-5115
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508410101
Provider Name
Ken Wilson
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
3238 171St Ave Ne, Ham Lake, MN, 55304-5115
Phone Number
612-802-3646
Fax Number
Provider Enumeration Date
07/31/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3238 171St Ave Ne
City
Ham Lake
State
Minnesota
Zip
55304-5115
Phone Number
612-802-3646
Fax Number
person
Provider Business Mailing Address Details
Address
3238 171St Ave Ne
City
Ham Lake
State
Minnesota
Zip
55304-5115
Phone Number
612-802-3646
Fax Number
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
6350 (Minnesota)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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